NPI age
20 years
Enumerated 2006-02-21
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | P00884051 | RR MEDICARE |
| 01 (ID) | 78464 | BC/ID |
| 05 (ID) | 1780659920 | |
| 01 (ID) | 1780659920 | REGENCE BLUE SHIELD |
| 05 (WA) | 2009820 | |
| 01 (WA) | 0267798 | LABOR & INDUSTRIES |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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